PDF(Pubmed)
Abstract：
One of the most frequent cartilage-capped outgrowths that develop beneath the periosteum due to cartilage ossification is osteochondroma. The second decade of life is noted as the most prevalent age of presentation. This case report looks at an uncommon osteochondroma presentation in a 20-year-old female with swelling along the right inferomedial border of the scapula. The patient presented with complaints of difficulty in daily activities and exhibited altered posture, decreased range of motion (ROM), muscle weakness, and altered shoulder function. The clinical assessment highlighted restricted shoulder and cervical ROM and muscle weakness in the trapezius, rhomboids, serratus anterior, and other surrounding muscles. Magnetic resonance imaging revealed an inferomedial bony outgrowth indicative of osteochondroma. A comprehensive physiotherapy intervention protocol for eight weeks was designed to alleviate pain, improve mobility, restore ROM, strengthen weakened muscles, correct posture, and enhance functions that were restricted. The protocol encompassed various techniques, such as muscle energy techniques (MET), proprioceptive neuromuscular facilitation (PNF), cold therapy, stretching, scapular mobilization, resistance exercises with TheraBand, postural correction exercises, ergonomic adjustments, scapular stabilization exercises, and \'J\'-taping to aid in muscle activation and address rounded shoulder posture. Outcome measures for cervical and shoulder ROM and strength were measured to note the progression after rehabilitation. The case report emphasizes the importance of a tailored physiotherapy rehabilitation protocol in managing osteochondroma-related symptoms, showing the potential benefits of multifaceted interventions in alleviating pain, improving function, and boosting the quality of life for individuals with similar presentations.
摘要：
由于软骨骨化而在骨膜下发展的最常见的软骨帽生长物之一是骨软骨瘤。生命的第二个十年被认为是最普遍的表现年龄。该病例报告着眼于一名20岁女性的罕见骨软骨瘤表现，该女性沿肩胛骨的右下内侧边界肿胀。患者出现日常活动困难的抱怨，并表现出改变的姿势，减小的运动范围（ROM），肌肉无力,改变了肩关节功能.临床评估强调肩颈活动受限和斜方肌无力，菱形,前锯齿肌，和其他周围的肌肉。磁共振成像显示下内侧骨生长表明骨软骨瘤。为期八周的综合物理治疗干预方案旨在减轻疼痛，提高流动性，恢复ROM，加强虚弱的肌肉，正确的姿势,增强被限制的功能。该协议包括各种技术，例如肌肉能量技术(MET)，本体感觉神经肌肉促进（PNF），冷疗,伸展,肩胛骨动员,使用TheraBand进行阻力练习，姿势矫正练习，符合人体工程学的调整，肩胛骨稳定训练,和\'J\'-胶带，以帮助肌肉激活和解决圆形肩部姿势。测量颈椎和肩部ROM和力量的结果，以记录康复后的进展。该病例报告强调了量身定制的理疗康复方案在治疗骨软骨瘤相关症状中的重要性，显示了多方面干预在减轻疼痛方面的潜在益处，改善功能，并提高具有类似演示文稿的个人的生活质量。
